<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal">
                	<div class="row">
                		<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >姓名:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.name}" class="form-control">
                    		</div>
                    	</div>
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >卡号:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.card_no}" class="form-control">
                    		</div>
                    	</div>
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >电话:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.mobile}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >有效期开始:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.start_date}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >有效期结束:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.end_date}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >是否验证:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.in_varifycation" value="0"}selected{/eq}>不验证</option>
                    				<option {eq name="model.in_varifycation" value="1"}selected{/eq}>验证</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >验证方式:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option>无</option>
                    				<option {eq name="model.in_varifycation_type" value="1"}selected{/eq}>指纹</option>
                    				<option {eq name="model.in_varifycation_type" value="2"}selected{/eq}>人脸</option>
                    				<option {eq name="model.in_varifycation_type" value="3"}selected{/eq}>前台</option>
                    				<option {eq name="model.in_varifycation_type" value="4"}selected{/eq}>其它</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >创建时间:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.create_time}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >合同号:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.contract_id}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >会员id:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.member_id}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >剩余次数:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.surplus_num}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >会员类型:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.membership_type" value="0"}selected{/eq}>未知</option>
                    				<option {eq name="model.membership_type" value="1"}selected{/eq}>次卡</option>
                    				<option {eq name="model.membership_type" value="2"}selected{/eq}>年月卡</option>
                    				<option {eq name="model.membership_type" value="3"}selected{/eq}>储值卡</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >合同状态:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.contract_status" value="1"}selected{/eq}>有效</option>
                    				<option {eq name="model.contract_status" value="2"}selected{/eq}>欠款</option>
                    				<option {eq name="model.contract_status" value="3"}selected{/eq}>无效</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >备注:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.descs}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >合同状态:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.owner_type" value="1"}selected{/eq}>会员卡</option>
                    				<option {eq name="model.owner_type" value="2"}selected{/eq}>员工卡</option>
                    				<option {eq name="model.owner_type" value="3"}selected{/eq}>临时卡</option>
                    				<option {eq name="model.owner_type" value="0"}selected{/eq}>借计卡</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >店铺id:</label>
                    		<div class="col-sm-6">
                    			<input type="text" value="{$model.shop_id}" class="form-control">
                    		</div>
                    	</div>
                    	
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >是否录入人脸:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.has_face" value="0"}selected{/eq}>未录入</option>
                    				<option {eq name="model.has_face" value="1"}selected{/eq}>已录入</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                    	<div class="form-group col-sm-6">
                    		<label class="col-sm-3 control-label" >是否录入指纹:</label>
                    		<div class="col-sm-6">
                    			<select class="form-control">
                    				<option {eq name="model.has_finger" value="0"}selected{/eq}>未录入</option>
                    				<option {eq name="model.has_finger" value="1"}selected{/eq}>已录入</option>
                    			</select>
                    		</div>
                    	</div>
                    	
                	</div>
                    
                </form>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.ADMIN_VIEW_JS}ic_card/edit.js'></script>